I'm not *quite* this pessimistic. But after what happened with Moderna for under 5s, it's not out of the question.
One of the big recommendations: "meaningful, visible, party-like competition to city elections. Nearly all of us are Democrats in San Francisco, but local politicians disagree vehemently on issues ranging from policing to housing to homelessness to education. Yet these disagreements are visible only to the most hyper-attentive city voters — because the ballot doesn’t label candidates with their team." If you're wondering how this would be achieved: "The solution is to elect the board at-large — with vote-aggregation rules designed to represent local factions in proportion to their support in the electorate" This article is actually an elaboration on a thread from a month back.
It used to be that we had a deal to reduce nuclear proliferation. We ended the deal, and now they are closer to nuclear weapons.